Provider Demographics
NPI:1053324533
Name:HOWARD P BELON PHD PC
Entity Type:Organization
Organization Name:HOWARD P BELON PHD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:BELON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:720-231-4375
Mailing Address - Street 1:10517 URA LN
Mailing Address - Street 2:
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-3685
Mailing Address - Country:US
Mailing Address - Phone:303-457-0272
Mailing Address - Fax:303-457-0618
Practice Address - Street 1:1601 E 19TH AVE STE 3200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1239
Practice Address - Country:US
Practice Address - Phone:303-286-8692
Practice Address - Fax:303-286-8716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-14
Last Update Date:2007-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804494Medicare PIN